The Positive Predictive Value of Smartphone Photoscreening in Pediatric Practices

Journal of Pediatric Ophthalmology and Strabismus
Robert W ArnoldR Kevin Winkle

Abstract

To compare smartphone photoscreening with other commercial objective screeners for amblyopia screening for young children. Ten pediatricians in four practices employed Nokia 1020 smartphones (Espoo, Finland) with single-axis Gobiquity software (Scottsdale, AZ) during well-child visits. Outcomes of confirmatory pediatric ophthalmology examinations were prospectively compared using American Association for Pediatric Ophthalmology and Strabismus uniform standards. Five percent of 6,310 in-office screenings were referred: 25% for high anisometropia, 31% for hyperopia, and 15% for myopia. The positive predictive value (PPV) in 217 follow-up examinations was 68% (95% confidence interval: 62% to 74%) by 2013 age-stratified standards and 77% (confidence interval: 71% to 83%) by 2003 American Association for Pediatric Ophthalmology and Strabismus standards. The follow-up rate was 65%. Smartphone photoscreening had PPV comparable with other commercial objective screeners. Simple, valid photoscreeners should help pediatricians achieve widespread compliance with screening guidelines to reduce the burden of pediatric amblyopia vision impairment. [J Pediatr Ophthalmol Strabismus. 2018;55(6):393-396.].

References

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Dec 5, 2006·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Ashley J RowattKathy Emmons
Oct 31, 2012·Pediatrics·Joseph M MillerUNKNOWN American Association of Certified Orthoptists
Jan 31, 2013·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Sean P DonahueUNKNOWN POS Vision Screening Committee
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Dec 9, 2015·Pediatrics·Sean P DonahueUNKNOWN AMERICAN ACADEMY OF OPHTHALMOLOGY
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Citations

Jul 20, 2019·Journal of Pediatric Ophthalmology and Strabismus·Aldo VaggeCarlo Enrico Traverso
Sep 29, 2020·Clinical Ophthalmology·Alexa H LevittRobert W Arnold
Jun 18, 2020·Clinical Ophthalmology·Samuel Joseph MartinRobert W Arnold
Dec 18, 2019·The Journal of Pediatrics·Robert W Arnold
Jan 5, 2021·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Guang-Ji WangJie Chen
Apr 8, 2021·Clinical Ophthalmology·Noha EkdawiMatthew P Kipp
Jul 26, 2021·Indian Journal of Ophthalmology·Kaushik MuraliPayal Shah
Jan 28, 2022·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Robert W Arnold

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